| 韩红.延续性护理干预在耐多药肺结核患者中的应用[J].上海护理,2014,14(8): |
| 延续性护理干预在耐多药肺结核患者中的应用 |
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| DOI： |
| 中文关键词: 耐多药肺结核 服药依从性 延续性护理 |
| 英文关键词:Continuity nursing intervention medication compliance tuberculosis treatment |
| 基金项目: |
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| 摘要点击次数: 1966 |
| 全文下载次数: 145 |
| 中文摘要: |
| 目的：探讨延续性护理干预对耐多药肺结核患者抑郁心理、服药依从性和复发率的影响。方法：从2012年1月-2013年1月期间在我病区进行治疗的耐多药肺结核患者100例,随机分为延续性护理组和常规护理组各50例,其中延续性护理组患者进行延续性护理干预,常规护理组患者进行耐多药的常规护理。结果：延续性护理组患者抑郁得分(42.35±4.21)分,常规护理组(49.82±4.47)分,差异具有统计学意义(P<0.05)。而在服药依从性方面,延续性护理组(100.0%)明显优于常规护理组(88.0%),其差异具有统计学意义(P<0.05)。通过1年的跟访调查,在复发几率方面,延续性护理组明显低于常规护理组,其差异具有统计学意义(P<0.05)。结论：延续性护理干预可以有效地改善患者的抑郁心理,患者对本病的知识了解程度有所增加,患者服药的依从性也有一定程度的改善,可以降低复发几率。 |
| 英文摘要: |
| Objective: To study the relationship between the efficacy of interventions and continuity of care of patients with multidrug-resistant tuberculosis .Methods: MDR- TB patients in January 2012 -2013 January period for treatment in our hospital were selected out of 100 patients were randomly divided into nursing intervention and usual care group , 50 cases in each group , in which the intervention care group continuity of patient care interventions , routine care only for routine care of patients resistant to multiple drugs. Mental depression or anxiety after comparing the two groups of patients care, medication compliance and knowledge of the disease to understand the situation .Result: Statistics available through the intervention of psychological care of patients with anxiety (42.35 ± 4.21), compared with conventional group (49.82 ± 4.47) found that the intervention group than the usual care nursing group, the difference was statistically significant (P <0.05). In terms of medication compliance , nursing intervention group ( 100.0% ) was significantly better than usual care group ( 88.0% ) , the difference was statistically significant (P <0.05).These patients were followed for 1 year with the visit survey found that the probability of disease recurrence , the intervention group was significantly lower than conventional nursing care group, the difference was statistically significant (P<0.05).Conclusion: The continuity of nursing intervention can effectively improve the patient's
depression and anxiety, patients ' knowledge of the disease has increased, the patient medication compliance have improved to some extent , reduce the risk of recurrence of the disease, with a certain clinical promotional value. |
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